Spinal epidural hematoma after spinal manipulation therapy:Report of three cases and a literature review
作者机构：Department of Spine SurgeryThe 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation ArmyLanzhou 730050Gansu ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第22期
页 面：6501-6509页
核心收录：
学科分类：1005[医学-中医学] 1002[医学-临床医学] 100512[医学-针灸推拿学] 10[医学]
基 金：Supported by Chinese People’s Liberation Army Medical Technology Youth Training Program No.20QNPY071
主 题：Spinal epidural hematoma Spinal manipulation therapy Spinal cord injury Magnetic resonance imaging Surgery Case report
摘 要：BACKGROUND Spinal manipulation therapy(SMT)has been widely used worldwide to treat musculoskeletal diseases,but it can cause serious adverse *** epidural hematoma(SEH)caused by SMT is a rare emergency that can cause neurological *** herein report three cases of SEH after *** SUMMARY The first case was a 30-year-old woman who experienced neck pain and numbness in both upper limbs immediately after *** symptoms persisted after 3 d of conservative treatment,and she was admitted to our *** resonance imaging(MRI)demonstrated an SEH,extending from C6 to *** second case was a 55-year-old man with sudden back pain 1 d after SMT,numbness in both lower limbs,an inability to stand or walk,and difficulty *** revealed an SEH,extending from T1 to *** third case was a 28-year-old man who suddenly developed symptoms of numbness in both lower limbs 4 h after *** was unable to stand or walk and experienced mild back *** revealed an SEH,extending from T1 to *** three patients underwent surgery after failed conservative *** three cases recovered to ASIA grade E on day 5,1 wk,and day 10 after surgery,*** patients returned to normal after 3 mo of *** SEH caused by SMT is very rare,and the condition of each patient should be evaluated in full detail before *** should be diagnosed immediately and actively treated by surgery.
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